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This section is conceived as a way of disseminating, in an expeditious and timely manner, the results of investigations, that are publications not scientifically evaluated or professionally edited.
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Epidemiology of human Campylobacter-associated gastroenteritis in Barbados: identification of likely sources of infection
Final Report Abstract: A survey of Campylobacter enteritis in Barbados was conducted for the period January 2000 to August 2003. The number of cases reported at the Winston Scott Polyclinic increased over this period, the majority occurring in children aged 1-4 years. Small increases in incidence during the months of March, June to August and November to December may be due to increased consumption of foods sold from small stalls at social events. Clinical isolates were predominantly C. jejuni (63.6%); 31.8% were C. coli and 4.6% could not be identified. (Au)
BAR-Abstract-3189.pdf
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High cord blood Leptin is associated with reduced early postnatal growth In preterm infants
Research Report Abstract. The study evaluated the association of cord blood leptin with growth andweight gain of 96 premature babies, followed during 6 months (corrected age). Thetemporal changes of anthropometric indexes over this period were assessed through repeated random regression (PROC MIXED) using SAS. This study reveals, for the first time, the association between lower leptin levels with greater catch up growth for both BMI and length among preterm children. In conclusion, leptin levels at birth, but not insulin levels, predict growth rates.
BRA-3143-Resumen.pdf
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Comparative Gender Analysis of dietary and exercise behaviour in the Caribbean A framework for action.
This study employed the transtheoretical model of behaviour change and was conducted to determine the stage of readiness for males and females, according to their levels of obesity, for increasing the consumption of fruits and vegetables and for adopting regular physical exercise and to
examine the relationship between stage of change and psychosocial factors. The study was conducted in four Caribbean countries, Jamaica, Trinidad & Tobago, St Kitts & Nevis and Belize, and coordinated by principal investigators in each country.
JAM-3099RESCFNI-3099.pdf
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An examination of the process of decentralisation of the health sector in Colombia
This study analyses the decentralisation of the health sector in Colombia. It explores the characteristics of Institutional Development and Community Participation as main components of decentralisation of the health sector and their relationship with the social and economic category of the municipalities; also the administrative and political issues that affect the implementation process at the municipal level. The study was carried out between 2001 and 2002.
COL-3089-Res.pdf
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Safety and use of blood products in Santa Catarina, Brazil: a system approach to analyse performance
Abstract: This study analysed the Blood Transfusion System of Santa Catarina, Brasil based on framework proposed by (Murray and Frenk) and defined as a goal seeking system where its performance is measured by looking at how well it attains its own goals. These goals were then transformed into two performance indicators: availability of blood supply and safety. (Au)
BRA-3081-Res.pdf
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The process of Health Policy Reform in the English-Speaking Caribbean: Case studies in National Health Insurance
Abstract: It documents and analyses the process of Health Policy Reform in the English-speaking Caribbean. It focuses on the development of policies for National Health Insurance in three countries in the Region: Trinidad and Tobago, St Lucia and St Vincent & the Grenadines. The study is unique, as it provides the first documentation of the policy process for National Health Insurance Programmes in the English-speaking Caribbean, thereby adding to the literature on Health Policy Process. The research was conducted (1996-2002 part-time) in accordance with the degree requirements for Doctor of Philosophy (PhD) at the University of Leeds, Nuffield Institute for Health, UK.
Trinidad-Tob-Res.doc
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Inequity in the Utilization of Health Services in Chile?: Analysis of the Effected of Individual Income and Health Insurance Coverage on Timely Receipt Health Services
Abstract: This research is a descriptive, analytic, cross-sectional study using data from the 1998 Encuesta de Caracterización Nacional (CASEN). The main outcome of interest in this research is the Chilean population's utilization of health services by type of health coverage and family income.
CHI-3044-RES.pdf
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Evaluation of the effectiveness and acceptability of self-collected vaginal swabs to detect human papillomavirus, for cervical cancer screening among Mexican women
Abstract: The Research's objective is to assess the effectiveness and acceptability of vaginal swabs self-collected at home, for detecting human papillomavirus (HPV) infection. Material and Methods: A cross-sectional study was conducted between April 2000 and February 2002, among 1,213 women selected through cluster sampling, in Morelos, Mexico.
Mex-1523-Res.doc
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Evaluating the use of different HPV testing strategies, as compared to the PAP, for the detection of cervical cancer in Mexico: epidemiologic and economic analyses
Final Report's abstract. The research evaluates the use of HPV testing, as compared to the Papanicolaou (Pap) test, for CC screening in Mexico. It concludes HPV testing is a cost-effective option for the IMSS CC screening program in Morelos, Mexico. (Au)
MEX-Res-3029.pdf
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Quality of care in chilbirth: Seeking a comprehensive approach
This study proposed to elaborate and evaluate a comprehensive method to assess quality of care in childbirth, adopting hospitals as the unit of analysis. Its overall goal was to identify easy to measure and cost-effective indicators to be used on a continuing basis, under a Public Health perspective.
BRA-Res-1180.doc
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Hepatitis B Vaccination In The Colombian Amazon. Effectiveness And Factors Influencing Vaccination Coverage
Abstract: A vaccination coverage survey was carried out in the Colombian Amazon, a former high endemic area for hepatitis B, involving 3573 children less than 11 years old. It was carried out in Leticia, Puerto Nariño, and Araracuara, both urban and rural areas. In conclusion, the introduction of a recombinant Cuban manufactured hepatitis B vaccine has produced a marked decline in the high infection prevalence of children in the Colombian Amazon area.
Col-1543-Res-.doc
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Social inequality and health in México 1990-1997: Individual and policy pathways -
The amis of the research is to study how social inequality has influenced the health status of the Mexican population at the individual level from a social class perspective as well as the state level from a policy perspective between 1990 and 1996. Explore the individual and policy pathways through which social inequality affects health.
MEX-Res-3003.doc
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Gender and equity in access to health care in Jamaica and Barbados
The overall aim of this study is to determine the presence and extent of gender differentials with respect to access to health care and health expenditures in Jamaica and Barbados.
BAR-3018-Res.pdf
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Breastfeeding Determinants in Latin America
Research Report's Abstract. The author presents a secondary data analysis that was conducted with data collected between 1985 and 1999 as par of the Demographic and Health Survey program in six Latin American countries. The study was conducted with the aim of determining the secular trend o breastfeeding duration in urban and rural areas in Latin American countries with two or more DHS and to identify in each country risk factors for shorter breastfeeding duration.
GUT-Res-3002.pdf
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Titles Technical Papers Series Research in Public Health
This page describes and provides links to the documents in the Technical Papers Series Research in Public Health, created by the Research Coordination Program to disseminate papers containing methodologies and research findings of projects sponsored and financed by the Research Grants Program.
hdr-serie.htm
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Demand of maternal health care services in Ecuador
Research Report's Abstract. The purpose of the study is to generate empirical knowledge that will provide policy makers with an understanding of the influence of insurance coverage on demand for maternal health care. A bivariate probit model is used to estimate the effect of insurance status, along with individual, -household-, and location-specific characteristics, on the use of prenatal care and birth delivery care, using data from the Survey of Living Conditions 1998.
ECU-Res-3004.doc
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Material Living Conditions and Health in the United States, Canada and Western Europe: Review of Recent Literature and Bibliography
This paper summarizes the work developed in Canada, the United States of America and Western
Europe on Material Living Conditions and Health. The authors present an overview of this production in
the decade and list over 500 works, putting them in context and many of them with comments on their relevance. The work was prepared simultaneously with Dr. Naomar de Almeida's overview for works in the same area in Latin America and the Caribbean (Document 19 of the same Series).
series09composite.pdf
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Environmental Health Indicators and Development of Preventive Actions against Ascaris lumbricoides Infectons in Rural Communities: Caparaó and Alto Caparaó, Minas Gerais, Brazil (Technical Papers Series Research in Public Health, number 29, June 2000)
The purpose of this paper was to develop a composite environmental health indicator with potential use as a decision-making tool as well as in defining preventive measures against ascariasis (roundworms) in eleven rural communities in the municipalities of Caparaó and Alto Caparaó, Minas Gerais, Brazil.
series29composite.pdf
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Sexual Intimacy among Young Teenagers in Pelotas, Brazil: Achieving Maturity in a Complex World.Technical Papers Series Research in Public Health, number 25 (June 2000)
The objective of this study was to explore adolescent practices related to the construction of sexual identity. The term sexual identity was meant to cover all behaviors and ideologies locally salient for young people’s views of themselves as sexual beings.
series25composite.pdf
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Inequalities in Health Based on Living Conditions: Analysis of Scientific Output in Latin America and the Caribbean and Annotated Bibliography
Technical Papers Series Research in Public Health, number 19 (June 2000)
series19.pdf
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Sexual intimacy among young teenagers in Pelotas, Brazil: Achieving maturity in a diversified world
The objective of the study was to explore adolescent practices related to the construction of sexual identity. The term sexual identity was meant to cover all behaviors and ideologies locally salient for young people's views of themselves as sexual beings. The methods: A sub-sample of 93 children from a 1982 epidemiological birth cohort was selected randomly from eight census districts. Unstructured methods (participant observation, unstructured yet guided interviewing and semi-structured observation) were used repeatedly with each adolescent from December 1997 to August 1998. (Abstract/Report)
BRA-Res-1355.doc
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Protocol of the Multicenter Study-Inequities in Health Status, Access and Expenditure: Using Secondary Data to Inform Policy-Making (Technical Papers Series Research in Public Health, number 22, May 2000)
This project constitutes an inter-program effort, to which is attached an extensive bibliographical review on the subject covering not only the developed countries but Latin America as well. The proposal establishes different levels of analysis (regional, national and local) and will combine the utilization of secondary data with the application of a probabilistic household survey in certain localities with more than 300,000 inhabitants.
series22composite.pdf
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Breastfeeding and Milk Insufficiency in Esmeraldas City, Ecuador: A Biocultural Perspective. Technical Papers Series Research in Public Health, number 28 (May 2000)
While it is widely recognized that breastfeeding is best for babies, many women stop breastfeeding earlier than recommended because they believe they are producing insufficient milk. There is a debate about whether women who report insufficient milk actually produce less breastmilk, or whether the perception of milk insufficiency results from factors such as cultural beliefs, misconstrual of the breastfeeding process, or inadequate social support.
series28composite.pdf
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Previous exposure-dependent factors related to protection against malaria in a Brazilian amazon migrant population: an Open cohort study*
This study describes the relationship between previous exposure-dependent factors and malaria occurrence, using an open-cohort design. All individuals living in two hypo-endemic rural communities of Peixoto de Azevedo (MT - Brazil) between Sept.1996 and Apr.1997 were eligible. These results may help plan appropriate malaria control activities for migrants.
BRA-RES-1473.doc
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Recidivism among Jamaican teenage mothers: A historical cohort study (1994-1997)
Research Report's abstract that studies a historical cohort assessed the effect of the WCJF Program on the incidence of repeat pregnancies during the period 1995-1998, and on the educational attainment of program participants. A random sample (n=260) of primiparous Jamaican adolescent mothers 12-16 years who gave birth in 1994 in the parishes of Kingston & St. Andrew, St. Catherine and Manchester was selected from vital records and interviewed for this study in 1998.
JAM-Res-1480.doc
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Health, Growth and Income Distribution in Latin America and the Caribbean: A Study of Determinants and Regional and Local Behavior (Technical Papers Series Research in Public Health, number 18, 1999)
This collection of studies examines the impact of health on economic growth in Latin America. It shows evidence of long-term causality from health to economic growth and of complex interactions between health and the main economic indicators including income, education, economic participation and fertility.
series18composite.pdf
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Protocol of the Multicenter Study: Health, Well-Being and Aging in Latin America and the Caribbean (Technical Paper Series Research in Public Health, Number 6, April 1999)
The SABE Project is a multicenter study to evaluate the health conditions and well-being of adults aged 60 years and over, with special attention paid to those over 80, in selected cities of Latin America and the Caribbean. The study represents a collaborative effort between research centers and institutions of recognized excellence in the subject, under the auspices and technical cooperation of the Pan American Health Organization. The project is being conducted under the technical coordination of the Regional Program on Family Health and Population, Division of Health Promotion and Protection.
series06composite.pdf
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Questionnaire and Manuals: Cultural Norms and Attitudes Towards Violence in Selected Cities of Latin America and Spain (Project ACTIVA) (Technical Papers Series Research in Public Health, number 1, January 1999)
The ACTIVA Project is the outcome of a multicenter study to evaluate violence and related cultural norms and attitudes in selected cities of Latin America and Spain. The study represents a collaborative effort between research centers and institutions of recognized excellence in the subject, under the auspices and technical cooperation of the Pan American Health Organization. This document constitutes the uniform questionnaire and manuals used for the household survey, applied in all countries involved in the multicenter study
series02composite.pdf
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Violence from Urban Violence: Levels and Related Factors in Selected Cites of Latin America and Spain (Project ACTIVA) (Technical Papers Series Research in Public Health, number 4, January 1999)
This article compares the levels of victimization associated with various causes and identifies their related factors in eight cities in Latin America and Spain. For this purpose regional data from the Multicenter Study, Project ACTIVA, were used. This study, coordinated by the Pan American Health Organization, was conducted in 1996.
series04composite.pdf
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Dietary and lifestyle factors related to risk of obesity and hypertension in Jamaican women. Implications for health promotion
Research report's abstract that has as objectives: To determine dietary and lifestyle practices associated with obesity and hypertension in Jamaican women, and to obtain information on knowledge and attitudes towards obesity, diet and activity.
JAM-Res-1176.doc
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Psychosocial risk factors among women workers in the maquiladora industry in Mexico
Abstract of the report of research that identifies and evaluates the main psychosocial risk factors among women workers in the foreign investment plants located in Mexico under the "Maquiladora Program".
MEX-Res-1368.doc
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